Which surgeries are performed in the late nonambulatory phase of Duchenne muscular dystrophy (DMD)?

Updated: Aug 17, 2020
  • Author: Twee T Do, MD; Chief Editor: Jeffrey D Thomson, MD  more...
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Answer

Severe equinus foot deformities of more than 30° can be corrected with heel-cord lengthening or tenotomy. Varus deformities (if present) can be corrected with tibialis posterior tendon transfer, lengthening, or tenotomy. These procedures are performed for specific symptomatic problems, to alleviate pain and pressure, to allow the patient to wear shoes, and to permit correct placement of the feet on wheelchair footrests. They are not recommended as routine care.


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